Connecticut Orthodontic Specialists | |
109 Boston Post Rd Orange CT 06477-3235 | |
(203) 795-1209 | |
(203) 795-6911 |
Full Name | Connecticut Orthodontic Specialists |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 109 Boston Post Rd, Orange, Connecticut |
Authorized Official Name and Position | Robert David Rosenberg (PRESIDENT) |
Authorized Official Contact | 2037951209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Connecticut Orthodontic Specialists 109 Boston Post Rd Orange CT 06477-3235 Ph: (203) 795-1209 | Connecticut Orthodontic Specialists 109 Boston Post Rd Orange CT 06477-3235 Ph: (203) 795-1209 |
NPI Number | 1568681864 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568681864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8223 (Connecticut) | Primary |
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